Active NPI
Ashlyn Marie Eades, LMHCA, LPC
- Professional Counselor
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.2204163
- Practice address
- 1455 N Pennsylvania St
Indianapolis, IN 46202-2420 - Phone
- (937) 319-4448
- NPI assigned
- May 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.2204163 | OH | |
| Professional Counselor | 101YP2500X | C.2204163 | OH | Primary |
Addresses
Primary practice location
1455 N Pennsylvania St
Indianapolis, IN 46202-2420
Mailing address
1455 N Pennsylvania St
Indianapolis, IN 46202-2420
Phone (937) 319-4448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11 W Monument Ave
Suite 100
Dayton, OH 45402-1293
Phone (937) 671-1589
1455 N Pennsylvania St
Riverscape Counseling
Indianapolis, IN 46202-2420
Phone (937) 319-4448
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2204163 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darcie R Clark LPCC LLC | Mental Health | Current | Accepting new patients |
Locations
1455 N Pennsylvania St
Indianapolis, IN 46202
Phone (937) 319-4448
11 W Monument Ave
Ste 100
Dayton, OH 45402
Phone (937) 319-4448
1730 E High St
Springfield, OH 45505
Phone (937) 322-6411
761 Miamisburg Centerville Rd
Washington Township, OH 45459
Phone (937) 319-4448
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1891433199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 N PENNSYLVANIA ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462022420",
"telephone_number": "937-319-4448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 N PENNSYLVANIA ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462022420",
"telephone_number": "937-319-4448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EADES",
"first_name": "ASHLYN",
"middle_name": "MARIE",
"credential": "LMHCA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-25",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.2204163",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.2204163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.